HomeMy WebLinkAboutSeptic As-Built Card zo,IG —
Town of Yarmouth kNC 3 ?1R-6ofrts
Subsurface Sewage Disposal System As-Built Information Q
Street Address: "� ( �t t_ c�1?4-1 I t.�7 � \ Map: O1 Parcel: I\.Q2
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Owner Name: 1 l5-c.3l�>I CG1ii. _ia'o ENT-i Permit#: -( -3/
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Date Installed: '64-..3O- New: Repair:
Installer Name: 7-G• I . Installer Phone: SCS�S'- 7-1/-19-2311
Installation of(list all components, both newly installed and existing to remain in use):
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Leach Capacity(gpd):343 Ground Water Depth (inches): -I-0-e Health inspection by: '�� 1,(9
As-built Diagram
(Print Clearly in Black/Blue Ink and Use Straight Edge-Label Risers and Zabel Filter)
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11431'4= 1 C 1 1 0 t
NT Q32019
A B C D E F G
1
2 `91'
3 ,44c.' 36't."
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